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Case Report
Online Published: 19 Mar 2021
 


Looking beyond a common gastroenteritis

Fabiana Costa Pimentel, Manuel Serrano Martins, Carla Henriques, Lisete Nunes.


Abstract
Tuberculosis (TB) is a potentially fatal disease that can affect virtually any organic system. Intestinal TB is an uncommon form of extrapulmonary disease, with nonspecific clinical features, which can simulate Crohn's disease (CD). The differential diagnosis between the two is difficult but extremely important since the therapeutic and prognostic approach is completely distinct. We present the case of a 58-year-old woman with complaints of abdominal pain, fever and bloody diarrhoea for 5 days. The previous history of limited episodes of abdominal pain and diarrhoea, assumed as uncomplicated recurrent gastroenteritis, for the past 1 year. Colonoscopy revealed multiple ulcerated lesions, suggestive of Crohn’s disease. Histopathology also favoured the diagnosis of CD. However, an additional Ziehl Neelson staining of the biopsies was solicited, showing the presence of Koch bacillus. Intestinal Tuberculosis was admitted and patient-initiated antituberculous therapy.
This case report evidences the importance of a high level of suspicion of intestinal TB when evaluating a patient with features favouring a CD diagnosis, once treatment based on misdiagnosis may lead to serious morbidity and mortality.

Key words: Intestinal tuberculosis, Crohn´s Disease, Inflammatory bowel disease


 
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How to Cite this Article
Pubmed Style

Pimentel FC, Martins MS, Henriques C, Nunes L. Looking beyond a common gastroenteritis. Int J Med Rev Case Rep. 2021; 5(5): 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538

Web Style

Pimentel FC, Martins MS, Henriques C, Nunes L. Looking beyond a common gastroenteritis. https://www.mdpub.net/?mno=28342 [Access: April 02, 2025]. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538

AMA (American Medical Association) Style

Pimentel FC, Martins MS, Henriques C, Nunes L. Looking beyond a common gastroenteritis. Int J Med Rev Case Rep. 2021; 5(5): 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


Vancouver/ICMJE Style

Pimentel FC, Martins MS, Henriques C, Nunes L. Looking beyond a common gastroenteritis. Int J Med Rev Case Rep. (2021), [cited April 02, 2025]; 5(5): 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


Harvard Style

Pimentel, F. C., Martins, . M. S., Henriques, . C. & Nunes, . L. (2021) Looking beyond a common gastroenteritis. Int J Med Rev Case Rep, 5 (5), 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


Turabian Style

Pimentel, Fabiana Costa, Manuel Serrano Martins, Carla Henriques, and Lisete Nunes. 2021. Looking beyond a common gastroenteritis. International Journal of Medical Reviews and Case Reports, 5 (5), 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


Chicago Style

Pimentel, Fabiana Costa, Manuel Serrano Martins, Carla Henriques, and Lisete Nunes. "Looking beyond a common gastroenteritis." International Journal of Medical Reviews and Case Reports 5 (2021), 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


MLA (The Modern Language Association) Style

Pimentel, Fabiana Costa, Manuel Serrano Martins, Carla Henriques, and Lisete Nunes. "Looking beyond a common gastroenteritis." International Journal of Medical Reviews and Case Reports 5.5 (2021), 53-55. Print. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


APA (American Psychological Association) Style

Pimentel, F. C., Martins, . M. S., Henriques, . C. & Nunes, . L. (2021) Looking beyond a common gastroenteritis. International Journal of Medical Reviews and Case Reports, 5 (5), 53-55. doi:10.5455/IJMRCR.common-gastroenteritis-172-1607779538


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